Shigehiko Yagi, MD, Makoato Shirai, MD, Masanori Hottchi, MD. Ehime Prefectural Central Hospital
V-Loc180( A closure device) is the Pori Glico Nate suture.Since this thread is absorbency, application to the part which requires the junction over a long period of time (three weeks or more) is not recommended.Moreover, the safety and validity of this thread are not established alimentary canal anastomosis.However, this suture can be simply used in a continuous suture, and is considered that that power is demonstrated by laparoscopic surgery.We have done auxiliary use of this V-Loc180 in an alimentary canal suture.
The contents :15 stomach-walls defective part closing in a Laparoscopy Endoscopy Cooperative Surgery operation, 12 closing of the entry hole in the Roux-Y anastomosis of a Laparoscopy Assisted Distal Gastrectomy, one Stomach jejunum anastomosis which can set Billroth 1 reconstruction of Laparoscopic Distal Gastrectomy, one stomach jejunum anastomosis in a Laparoscopic Assisted Proximal Gastrectomy, and the functional some parts anastomosis of Laparoscopic Total Gastrectomy, and one stomach jejunum bypass surgery.
Although it was an in general good result, failure of the sutures was produced in Billroth 1 anastomosis.It was a part which seldom requires tension about other anastomosis and a suture.
Although the objective number could not be shown, when it was a part which does not require tension as an impression, the possibility which can be used was safely suggested also to the alimentary canal.Case accumulation evaluation is due to be performed from now on.